Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 2806 | TN |
N | 103TS0200X | School Psychologist |
NPI | 1184859209 |
---|---|
Provider Name | Dr. Sara Jean Mccane-Bowling |
First Address | Knoxville, TN 37932-1580 |
Second Address | Knoxville, TN 37932-1580 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 19/05/2009 |